When a CDI query is accepted by a physician, what does that typically entail?

• A. Query is ignored.
• B. Query is forwarded to payer.
• C. Physician agrees to add or modify documentation as requested.
• D. CDI staff unilaterally modifies the chart.

Answer: (C)

When a CDI query is accepted, it means the physician agrees to modify or add documentation in the medical record to support the codes being requested. The physician reviews the query and updates the chart to reflect details that make the coding accurate and compliant—for example, clearly stating that a condition is present on admission or identifying a comorbidity or complication that affects the code and reimbursement. This is a collaborative step, with the physician making the changes in the chart; CDI staff do not unilaterally alter the record. The query process is not about sending anything to a payer, but about ensuring the documentation aligns with coding guidelines and quality reporting.